Job Description
- Oversee and audit credentialing processes for medical professionals, ensuring compliance with payer and healthcare industry standards.
- Audit medical billing for accuracy, identify and resolve discrepancies, and ensure compliance with healthcare regulations.
- Manage credentialing renewals, maintain accurate credentialing records, and follow up with medical providers to ensure timely completion of processes.
- Collaborate with insurance companies, medical providers, and internal teams to resolve credentialing and billing issues.
- A solid understanding of payer requirements are essential.
- Proficiency in the following softwares: CLIO, Google Workspace, Microsoft Word, Excel, and Google Meet- Oversee and audit credentialing processes for medical professionals, ensuring compliance with payer and healthcare industry standards.
- Audit medical billing for accuracy, identify and resolve discrepancies, and ensure compliance with healthcare regulations.
- Manage credentialing renewals, maintain accurate credentialing records, and follow up with medical providers to ensure timely completion of processes.
- Collaborate with insurance companies, medical providers, and internal teams to resolve credentialing and billing issues.
- A solid understanding of payer requirements are essential.
- Proficiency in the following softwares: CLIO, Google Workspace, Microsoft Word, Excel, and Google Meet